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作 者:肖路 陈欣 童雪金 XIAO Lu;CHEN Xin;TONG Xuejin(Department of Laboratory,Shaowu Hospital of Traditional Chinese Medicine,Nanping,Fujian Province,354000 China)
出 处:《糖尿病新世界》2023年第17期12-15,共4页Diabetes New World Magazine
摘 要:目的 分析糖尿病血管并发症检测中红细胞、血小板检测参数的参考价值。方法 选取2022年6月-2023年5月邵武市中医院收治的2型糖尿病患者200例为研究对象,根据血管并发症情况分为两组,每组100例,A组合并血管并发症,B组无血管并发症,全部实施血小板检测、红细胞检测,比较两组血糖水平、红细胞指标、血小板指标。结果 两组基线资料比较,差异无统计学意义(P>0.05)。A组空腹血糖(9.82±0.87)mmol/L、餐后2 h血糖(15.45±1.60)mmol/L、糖化血红蛋白(10.29±0.57)%与B组比较,差异无统计学意义(t=0.460、0.379、0.231,P>0.05)。A组血小板指数(13.40±3.01)×10^(9)/L、红细胞分布宽度(43.10±1.20)%高于B组,差异有统计学意义(P<0.05)。A组血小板计数、血小板压积低于B组,差异有统计学意义(P<0.05)。A组平均血小板体积、血小板分布宽度高于B组,差异有统计学意义(P<0.05)。结论 糖尿病血管并发症检测中红细胞、血小板参数具有重要指示作用,可辅助医师预测评估血管并发症,促进临床科学治疗防控,应用价值显著。Objective To analyze the reference value of erythrocyte and platelet detection parameters in the detection of diabetic vascular complications.Methods A total of 200 patients with type 2 diabetes admitted to Shaowu Hospital of Traditional Chinese Medicine from June 2022 to May 2023 were selected as the study subjects,and divided into group A with vascular complications and group B without vascular complications according to vascular complications,with 100 cases in each group.were combined.Platelet and red blood cell tests were performed for all patients,and blood glucose levels,red blood cell indexes and platelet indexes were compared between the two groups.Results There was no statistically significant difference in baseline data between the two groups(P>0.05).There were no statis-tically significant differences in fasting plasma glucose(9.82±0.87)mmol/L,2-hour postprandial blood glucose(15.45±1.60)mmol/L and HBA1c(10.29±0.57)%in group A compared with group B(t=0.460,0.379,0.231,P>0.05).The platelet index(13.40±3.01)×10^(9)/L and erythrocyte distribution width(43.10±1.20)%in group A were higher than those in group B,and the differences were statistically significant(P<0.05).The platelet count and platelet pressure in group A were lower than those in group B,and the differences were statistically significant(P<0.05).The average platelet volume and distribution width in group A were higher than those in group B,and the differences were statisti-cally significant(P<0.05).Conclusion Red blood cell and platelet parameters play an important role in the detection of diabetic vascular complications,which can assist physicians to predict and evaluate vascular complications,pro-mote clinical scientific treatment and prevention and control,and have significant application value.
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